Job Description Summary ‎ Provides evidence-based medical care while meeting the needs of the patient and respecting their diverse backgrounds. Assesses the needs of the population they serve and works with team members to develop a plan of care to meet the needs of this patient population Assures comprehensive care for population served (may include pediatrics to geriatrics and women’s health) in alignment with the Vera Medical Home Model including collection of comprehensive health history, performing appropriate physical examinations, performing, ordering, and analyzing diagnostic tests. With the care team develops and implements a biopsychosocial plan of care, including appropriate disease management, case management, wellness, and prevention coaching. Collaborates with Quality Improvement Committee to manage the clinic Quality Improvement program. Manages 12-16 patients per day by providing primary care medical services to patients including preventive, chronic, and acute care. Serve as part of the after-hours on-call team in rotation with other Providers in the region. Collaborates in developing team priorities and patient goals and care plans through team meetings, huddles and just in time communication In collaboration with clinic manager and Lead Provider, participates in process improvement, quality assurance, and ongoing development of the team-based approach while leading change management Promotes health and wellness for patients through the coordination of health coaching, health risk assessment, and other health promotion activities. Provides tailored patient counseling and effective motivational interviewing through establishing appropriate goals and action plans. Knows and adheres to the requirements and expectations of the client contract. Participates in non-clinical organizational activities and committees (e.g. provider meetings, clinical advisory committee, quality improvement committee, etc.). Achieves target objectives to meet company and client requirements by improving the health status of the eligible population and meets established benchmarks for clinical outcomes, engagement & patient, and client satisfaction. Appropriately documents and codes, in a timely manner, to show clinical care provided, gap closure completed, risk adjustment, and HCC’s addressed according to population served ‎ How will you make an impact & Requirements ‎ Provides evidence-based medical care while meeting the needs of the patient and respecting their diverse backgrounds. Assesses the needs of the population they serve and works with team members to develop a plan of care to meet the needs of this patient population Assures comprehensive care for population served (may include pediatrics to geriatrics and women’s health) in alignment with the Vera Medical Home Model including collection of comprehensive health history, performing appropriate physical examinations, performing, ordering, and analyzing diagnostic tests. With the care team develops and implements a biopsychosocial plan of care, including appropriate disease management, case management, wellness, and prevention coaching. Collaborates with Quality Improvement Committee to manage the clinic Quality Improvement program. Manages 12-16 patients per day by providing primary care medical services to patients including preventive, chronic, and acute care. Serve as part of the after-hours on-call team in rotation with other Providers in the region. Collaborates in developing team priorities and patient goals and care plans through team meetings, huddles and just in time communication In collaboration with clinic manager and Lead Provider, participates in process improvement, quality assurance, and ongoing development of the team-based approach while leading change management Promotes health and wellness for patients through the coordination of health coaching, health risk assessment, and other health promotion activities. Provides tailored patient counseling and effective motivational interviewing through establishing appropriate goals and action plans. Knows and adheres to the requirements and expectations of the client contract. Participates in non-clinical organizational activities and committees (e.g. provider meetings, clinical advisory committee, quality improvement committee, etc.). Achieves target objectives to meet company and client requirements by improving the health status of the eligible population and meets established benchmarks for clinical outcomes, engagement & patient, and client satisfaction. Appropriately documents and codes, in a timely manner, to show clinical care provided, gap closure completed, risk adjustment, and HCC’s addressed according to population served ‎ Compensation Range: $108,466.00 to $162,698.00 The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs. Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at [email protected]. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health

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